KRISTEN MARIE REZAK (NPI# 1801086905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801086905 |
| Entity Type | Individual |
| Full Name | KRISTEN MARIE REZAK |
| Credential | MD |
| Practice Address |
3404 Wake Forest Rd Raleigh NC 27609-7340 |
| Mailing Address |
Dumc 3358 Durham NC 27710-0001 |
| Practice Telephone | 9196680261 |
| Mailing Telephone | 9196844114 |
| Mailing Fax Number | 9196680261 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2018-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
2012-00504 | NC | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
239581 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 Duke Medicine Cir, Durham, NC 277102000 | 9196680261 | |
| 3475 Erwin Rd, Durham, NC 277050005 | 9196680261 | |
| 4101 Macon Pond Rd, Raleigh, NC 276076319 | 9196680261 | |
| 50 New Scotland Ave, First Floor, Albany, NY 12208 | 5182622229 | 5182626358 |
| Street Address |
3404 WAKE FOREST RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-7340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455832 | Jon Kolkin | Orthopaedic Surgery | 3404 Wake Forest Rd, Ste 303, Raleigh, NC 27609-7341 | 2005-05-31 |
| 1891283073 | Regional Anesthesia, Pllc | Specialist | 3404 Wake Forest Rd, Raleigh, NC 27609-7340 | 2018-04-24 |
| 1023517745 | Melissa Jo Peterson | Nurse Practitioner | 3404 Wake Forest Rd, Raleigh, NC 27609-7340 | 2018-02-08 |
| 1972054211 | Claire Gere Reynolds | Nurse Practitioner | 3404 Wake Forest Rd, 202, Raleigh, NC 27609-7340 | 2016-10-21 |
| 1477920247 | Jaclyn White | Nurse Practitioner | 3404 Wake Forest Rd, Suite 302, Raleigh, NC 27609-7340 | 2015-08-27 |
| 1790160745 | Catherine Frances Sellers | Nurse Practitioner | 3404 Wake Forest Rd, Mob 7, Lower Level, Raleigh, NC 27609-7340 | 2015-07-20 |
| 1093057028 | Stephanie Nicole Roberts | Registered Nurse | 3404 Wake Forest Rd, St 200, Raleigh, NC 27609-7340 | 2013-03-15 |
| 1942558705 | Meaghan Thomas | Occupational Therapy Assistant | 3404 Wake Forest Rd, Suite 303, Raleigh, NC 27609-7340 | 2012-08-27 |
| 1306116611 | Private Diagnostic Clinic, Pllc | Obstetrics & Gynecology | 3404 Wake Forest Rd, Suite 200, Raleigh, NC 27609-7340 | 2012-01-03 |
| 1477834349 | Brittaney Swift Wolfe | Nurse Practitioner | 3404 Wake Forest Rd, Suite 203, Raleigh, NC 27609-7340 | 2011-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396829271 | Michael Zenn | Surgery | 7920 Acc Blvd Ste 110, Raleigh, NC 27617-8744 | 2006-10-25 |
| 1679577613 | Richard Edward Carlino | Surgery | 3633 Harden Rd, Ste 200, Raleigh, NC 27607-3369 | 2005-06-08 |
| 1629395561 | Sanjay Venkat Daluvoy | Surgery | 3633 Harden Rd, #200, Raleigh, NC 27607-3369 | 2010-05-03 |
| 1861680928 | Benjamin Chadwick Wood | Surgery | 2304 Wesvill Ct, Suite 360, Raleigh, NC 27607-0058 | 2007-10-12 |
| 1225100308 | Juan Antonio Ortiz | Surgery | 9104 Falls of Neuse Rd, Ste 204, Raleigh, NC 27615-2493 | 2006-11-14 |
| 1588668529 | Roger Bivins Russell | Surgery | 3633 Harden Rd, Ste 200, Raleigh, NC 27607-3369 | 2005-06-08 |
| 1396749339 | Donald L Oschwald Jr. | Surgery | 3633 Harden Rd, Ste 200, Raleigh, NC 27607-3369 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447813753 | Kds Aesthetics, Pllc | Surgery | 2806b Wooten Blvd., Wilson, NC 27893-8624 | 2019-04-22 |
| 1124681689 | Cami Surgery Center, Pllc | Surgery | 8712 Lindholm Dr Ste 308, Huntersville, NC 28078-1872 | 2019-04-19 |
| 1154777936 | Shuting Zhong | Surgery | 130 Manson Farm Rd # 2100, Chapel Hill, NC 27599-0001 | 2016-05-10 |
| 1205216173 | Henry Neale Sr. | Surgery | 117 Shenandoah Terrace, Montreat, NC 28757 | 2015-06-04 |
| 1689940603 | Asheville Aesthetic Plastic Surgery | Surgery | 108 Yorkshire Street, Suite D, Asheville, NC 28803-2759 | 2012-03-23 |
| 1245428358 | Jeyhan S Wood | Surgery | 7033 Burnett Womack Bldg Cb 7195, Chapel Hill, NC 27599-0001 | 2007-10-15 |
| 1255528477 | Rutherford Hospital, Inc. | Surgery | 128 Doctor Henry Norris Dr, Rutherfordton, NC 28139-3165 | 2007-10-02 |
| 1215144670 | David Hardman Harley | Surgery | 13620 Reese Blvd E, Suite 110, Bldg Xii, Huntersville, NC 28078-6417 | 2007-05-16 |
| 1043356868 | Tor Martin Ljung | Surgery | 6752 Parker Farm Dr # 200, Wilmington, NC 28405-3175 | 2007-01-29 |
| 1669538971 | Southland Plastic Surgery | Surgery | 501 North Aspen St, Lincolnton, NC 28092-2105 | 2006-12-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.